| NPI | 1184623126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 210641) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 210641) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-08 |